BPOL2015-0150I
78-495 CALLE TAMPICO
Twyl D 4 Q"
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/15/2015
Application Number: BPOL2015-0150
Owner:
Property Address: 54435 AVENIDA RUBIO
KATHIE ARECHIGA
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APN: 774234029
54435 AVENIDA RJBIO
!
Application Description: ARECHIGA RESIDENCE POOL
Property Zoning:
LA QUINTA, CA 92253
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S? C
Application Valuation: $26,000.00
�•^ wi+d p..d 1,
Applicant:
Contractor:r-,
DESERT OUTDOORS INC
DESERT OUTDOORS INC
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78-065 MAIN STREET STE 205
78-065 MAIN STREET STE 205r
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)399-9600
Llc. No.: 964474
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 700D) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C27, C53 License No.: 9647
Date: � ('1' Contractor --
OWNER-�UILDER D LARATION .
I hereby affirm under penalty of peC(Sec.
that I exempt from the Contractor's State
License Law for the following reaso70 .5, Business and Professions Code: Any
city or county that requires a permio ruct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(� I,_as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.).
( __) I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
( I I am exempt under Sec. . B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificateof consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the or which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier:_ Policy Number: _
I certify that in the performance of tie work for which this permit is issued, I
shall not employ any person in any manner so a to ec a su 'ect to the workers'
compensation laws of California, and agree tha ; if shout b f9tne subject to the
workers' compensation provisions of Section 3A00 of the Code, I shall forthwith
comply with those provisions.
Date: I ' Applicant
WARNING: FAILURE TO SECURE WOR rERS' CO PENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER O CRIM AL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLAR ($10 OCp. IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PRO FOR sN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the+Building Official for a permit subject to
the conditions and restrictions set forth on this 3pplicatiori.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to'any permit
issued as a result of this application , the owner and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancell.tion.
I certify that I have read this application and sta-e that the above formation is correct.
I agree to comply with all city and county ordinances and state I ws relating o building
construction, and hereby authorize representatives of this city t enter upo the above-
mentioned property for inspection purposes. _
Date: - J K Signature (Applicant a- AgerStf
FINANCIAL •• •
.DESCRIP.TION :,°`4 ; . r i"` r:
... ,.0 ,r . ACCOUNTS x TY
A s z uAMOUNT it �,,� PAID PAID:DATE
BSAS SB1473 FEE 101-0000-20306 0$2.00 $0.00 ... ;
Pi -METHOD ` '=" ;'• .: >+'. r .._ . _.
` 9 REE
CIPTS# f� x :; CHECK #_' CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00
DESCRIPTION
ACCOUNT x
;.QTY.
AMOUNT ''='PAID
PAID DATE,
WALL/FENCE - FIRST 100 LF
101-0000-42404
0 $47.86
'$0.00
PAIDBY 14: ` r�,;.
METHOD k n
w� .., d� ri •
RECEIPT,#
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"CLTD•BYf",
`.
"' • +~,DESCRIPTION ...
_ ..
f
:.ACCOUNT
AOUNT,!
iN
PAID—.DATE
PAID.,
.QT
i
=
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0 $60.91
$0.00
s-�• r Yx
BY'
BY
�METD,
T
RECEIPT #1
CHECK
CLTD
r
BYHOPAID
Total Paid forFENCE OR FREESTANDING WALL $108.77 $0.00
GDESCRIPTION , "" r "46COUNT AMOUNT ' ' �'
PAID•' PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
1t
'PAID BY"r
META
`RECEIPT# v
xCLTD.BY
F`'CHECK#�:,,
"DES CRIPTION 'r' .4 'P
-' z ' �ACCOUNT.FC!TY
=x
UNT °°`.�
AMOIf
PAID:^°
may.
-
PAID DATE`
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
PAID BY,
METHODS -�
; ..
y RECEIP,T;#
CHECK'#
CLTD
y
,�
BY .,
Total Paid forPOOL / SPA. $279.91 $0.00
TOTALS:•• 00
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r ,
Description: ARECHIGA RESIDENCE POOL
Type: POOL Subtype: Status: APPROVED
Applied: 7/13/2015 EVA
Approved: 7/14/2015 KKI
Parcel No: 774234029 Site Address: 54435 AVENIDA RUBIO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 263 Lot: 9
Issued:
UNIT 24
"CHRONOLOGY:TYSTAFF NAME .n, `� �,.� .ACTION DATE>='t " COMPLETION DATE" - .,, r� •` NOTES' Y `s,
J i.4,n'} . ..L ♦ _ t}.
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $26,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings:0 No. Stories:0 No.- Unites: 0
Details: POOL W/ 30LF OF 6 FT HIGH BLOCK WALL & 32LF OF 4 FT HIGH BLOCK WALL, THIS PERMIT DOES NOT INCLUDE FIRE PIT OR BBQ.
EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO
BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
FINANCIAL INFORMATION
Printed: Wednesday, July 15, 2015 8:33:50 AM 1 of 2 C
SY57EM5
CHRONOLOGY
"CHRONOLOGY:TYSTAFF NAME .n, `� �,.� .ACTION DATE>='t " COMPLETION DATE" - .,, r� •` NOTES' Y `s,
J i.4,n'} . ..L ♦ _ t}.
NOTE
PHILIP JUAREZ
7/14/2015
sent back 7/14/15
CONDITIONS
CONTACTS
-'NAMETYPE -
t ; '= a NAME -
'. -
r asr ADDRESSl" Y�3
'4!,
, CITY ` `+' STATE
'}.
` �« ZIPS PHONE
} -FAX
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EMAIL'd r �
_-
APPLICANT
DESERT OUTDOORS INC
78-065 MAIN STREET
STE 205
LA QUINTA CA
92253
CONTRACTOR
DESERT OUTDOORS INC
78-065 MAIN STREET
STE 205
LA QUINTA CA
92253
OWNER
KATHIE ARECHIGA
54435 AVENIDA RUBIO
LA QUINTA CA
92253
FINANCIAL INFORMATION
Printed: Wednesday, July 15, 2015 8:33:50 AM 1 of 2 C
SY57EM5
ATTACHMENTS
Printed: Wednesday, July 15, 2015 8:33:50 AM 2 of 2 Cf`?w.'YSTEMS
'v-
t,RECEIPT#
i
6y,'
:CLTD
DESCRIPTION.
CCOUNT,
AMOUNT 14
PAI D
D DATE.
�6kl(
METHOD
PAID
-A
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $2.00 $0.00
BSA:
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$0.00
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
$60.91
$0.00
100 LF PC
Total Paid forFENCE OR FREESTANDING WALL, $108.77 $0.00
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
SWIMMING POOL/SPA
101-0000-42600
0
$98.62
$0.00
PC
Total Paid forPOOL/ SPA.- .$279.91 $0.00
TOTALS: $390.68 $0.00
ATTACHMENTS
Printed: Wednesday, July 15, 2015 8:33:50 AM 2 of 2 Cf`?w.'YSTEMS
Birt #
City of La Quanta
52 [� x-11 G r1 C3 l�Cvi k f l.C�
Bulkibe tar Safety Division
Permlt #
P.O. Box 1504,78-495 Casae Tampico
PO L
— CU l�jC�La Quanta, CA 92233 - (760) 777-7012
Construction Type: occupancy:
Building Permit Application and Tracking Sheet
Project Address:
U (� Owner's Name: 1 G
A. P. Number. .-� -7
Address: j S U (�
Legal Description:
1 & ttna w Value of Project: ID �7
City, ST, Zip: �j l
Contractor. TSCJEg.T
N
Telephone:
lAddress: ?St*_ -i(05
4:�:r[-
Project Description
cit),,stzip: LA Q V t m -c-& (&.
k 14---, . i -n — _ ,
Telephone: .3CKOC
State Lac. # : '� Ci Lia I ...
Arch, Engr., Designer:
3�U , ) 6-1 WGi.(• 1�.1A U_
52 [� x-11 G r1 C3 l�Cvi k f l.C�
Address:
City, ST, Zap:
Telephone:
State Lia M 3 �'� �p
Construction Type: occupancy:
Project We (circle one): Now add'n Alter Repair Demo
Name of Contact Person -A"
Sq. Ft.:
# Stories:
# Unity
Telephone # of Contact Person: -17j'5
1 & ttna w Value of Project: ID �7
APPLICANT:
DO NOT WRITE BELOW THIS LINE
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Submittal
Req'd
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TRACING
PERWrI =
Plan Sets
Plan Check submitted
Item
Amount
Structumi Calces
Reviewed, ready for corrections
Plan to lc Deposit
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Called Contact Person
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de U Calcs.
•ans
Pi picked up
Construction
Flood plain plan
Plans resubmitted
Mee"Aical
Grading plan
Z'! Review, ready for eorrectloug mue
EleebKw1
Subcontactor List
Called Contact Person
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Grant Deed
Plans picked up
S.M.I.
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Plans resubmitted
Geadiag
W HOUSE.
"° Rgvlew, ready for c Milondissec
Developer Impact Fee
PianaingApproval
Called Contact Person
A LP.P.
Pub. Wlce. Appr
Date of permit issue
School Fees
Total permit Fees
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